NPIMap

Organization Active NPI

Central Clinic

  • Methadone Clinic
  • Carrington, ND
National Provider Identifier
1306320213
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CENTRAL CLINIC
Practice address
990 Main St
Carrington, ND 58421-2024
Phone
(701) 652-2651
Fax
(701) 652-1882
NPI assigned
Sep 18, 2018
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shane R Wendel, PHARM.D.NPI 1982616488
Title
President
Phone
(701) 652-2044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

990 Main St
Carrington, ND 58421-2024

Mailing address

990 Main St
Carrington, ND 58421-2024
Phone (701) 652-2651

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address centralrx@daktel.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Central Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Central Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1306320213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212024",
            "telephone_number": "701-652-2651",
            "fax_number": "701-652-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212024",
            "telephone_number": "701-652-2651",
            "fax_number": "701-652-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PHARMACY INC",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-652-2044",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "centralrx@daktel.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "990 Main St",
            "city": "Carrington",
            "state": "ND",
            "country_code": "US",
            "postal_code": "584212024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrington, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.